CERTIFICATION OF ENROLLMENT

                        HOUSE BILL 1038

                        53rd Legislature

                      1993 Regular Session

Passed by the House March 8, 1993   Yeas 97   Nays 0 Speaker of the        House of Representatives Passed by the Senate March 27, 1993   Yeas 40   Nays 0

CERTIFICATE I, Alan Thompson, Chief Clerk of the House of Representatives of the State of Washington, do hereby certify that the attached is HOUSE BILL 1038 as passed by the House of Representatives and the Senate on the dates hereon set forth.

President of the Senate

Chief Clerk

Approved Place Style On Codes above, and Style Off Codes below.

FILED

Governor of the State of Washington

Secretary of State                        State of Washington

                              _______________________________________________

                                                      HOUSE BILL 1038

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                                                       Passed Legislature - 1993 Regular Session

State of Washington                              53rd Legislature                             1993 Regular Session

By Representative Dellwo; by request of Law Revision Commission

Read first time 01/12/93.  Referred to Committee on Health Care.

Correcting a double amendment related to authorized functions of health care assistants.

          AN ACT Relating to correcting a double amendment relating to authorized functions of health care assistants; and reenacting and amending RCW 18.135.060.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

        Sec. 1.  RCW 18.135.060 and 1986 c 216 s 3 and 1986 c 115 s 1 are each reenacted and amended to read as follows:

(1) Except as provided in subsection (2) of this section:

(a) Any health care assistant certified pursuant to this chapter shall perform the functions authorized in this chapter only by delegation of authority from the health care practitioner and under the supervision of a health care practitioner acting within the scope of his or her license.  In the case of subcutaneous, intradermal and intramuscular and intravenous injections, a health care assistant may perform such functions only under the supervision of a health care practitioner having authority, within the scope of his or her license, to order such procedures.

(b) The health care practitioner who ordered the procedure or a health care practitioner who could order the procedure under his or her license shall be physically present in the immediate area of a hospital or nursing home where the injection is administered.  Sensitivity agents being administered intradermally or by the scratch method are excluded from this requirement.

          ((:  PROVIDED, That)) (2) A health care assistant trained by a federally approved end-stage renal disease facility may perform venipuncture for blood withdrawal, administration of oxygen as necessary by cannula or mask, venipuncture for placement of fistula needles, intravenous administration of heparin and sodium chloride solutions as an integral part of dialysis treatment, and intradermal, subcutaneous, or topical administration of local anesthetics in conjunction with placement of fistula needles, and intraperitoneal administration of sterile electrolyte solutions and heparin for peritoneal dialysis((,)):  (a) In the center or health care facility ((or in the patient's home)) if a registered nurse licensed under chapter 18.88 RCW is physically present and immediately available in such center or health care facility ((for patients dialyzing in the health care facility or center or for patients dialyzing at)); or (b) in the patient's home if a physician and a registered nurse are available for consultation during the dialysis.

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